I,   *   * , hereby authorize The National Reentry Network for Returning Citizens of 1200 U ST NW, Washington, DC 20009 and/or its agents to make investigations of my background, verification of social security number; current and previous residences; references, character, past employment, consumer reports, education, driving records, birth records, and any other public records and civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; including those maintained by both public and private organizations, and all records for the purpose of confirming the information contained on my application and/or obtaining other information which may be material to my qualifications for services and/or employment. The information contained in this application is correct to the best of my knowledge.
I hereby consent to The National Reentry Network for Returning Citizens verification of all the information I have provided on my application form. I also agree to execute as a condition of employment/services or a condition of continued employment/services any additional written authorization necessary for The National Reentry Network for Returning Citizens to obtain access to and copies of records pertaining to this information. With regard to the foregoing disclosures, I hereby agree to release any person, company, or other entity from any and all causes of action that otherwise might arise from supplying The National Reentry Network for Returning Citizens with application or any related document, will be sufficient for rejection of my application or for my immediate discharge should such falsifications or misrepresentations be discovered after I am employed.
I further authorize any individual, company, firm, corporation, or public agency to divulge any and all information, verbal or written, pertaining to me, to The National Reentry Network for Returning Citizens or its agents. I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation, or public agency may have, including information or data received from other sources.
I hereby release The National Reentry Network for Returning Citizens, and its agents, officials, representatives, or assigned agencies, including officers, employees, or related personnel both individually and collectively, from any and all liability for damages of whatever kind, which may, at any time, result to me, my heirs, family, or associates because of compliance with this authorization and request to release.Â